NPI age
19 years
Enumerated 2006-10-23
● Active
Type 1 · Individual
Alex C Moss, PAC
Moss is 1 of 4 physician assistant providers in Montpelier and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-06-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
465 Washington St
Montpelier, ID 832541544
Mailing address
465 Washington St
Montpelier, ID 832541544
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010148620 | BLUE SHIELD IDAHO INDIVID |
| 05 (ID) | 807007000 | |
| 01 (ID) | PAWD7 | BLUE CROSS OF IDAHO INDIV |
| 01 (ID) | P00477878 | MEDICARE RAILROAD |
| 01 (ID) | 8L568 | BLUE CROSS IDAHO GROUP NO |
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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